Blue Cross NC · 3 hours ago
Senior Program Manager
United States
Full-time
Remote
Senior Level
$89K/yr - $143K/yr
5+ years expBlue Cross NC is partnering with the North Carolina Department of Health and Human Services to provide integrated care through the Children and Families Specialty Plan. The Senior Program Manager will oversee project execution, data management, and performance evaluation to ensure quality services for enrolled families.
Financial ServicesHealth InsuranceInsurance
Responsibilities
Develop project plans and recommendations in support of Plan objectives and leads implementation; tracks and reports on the status of the project. Must ascertain, categorize and manage projects in relation to Plan priorities
Coordinate data sharing and integration across systems to enable comprehensive performance analysis
Use dashboards, team reporting, regulatory reports and other artifacts to develop Plan-level insights on Plan functions within Care Management, Provider Network, and Cross-collaboration teams
Track headwinds and tailwinds impacting overall program performance
Ensure data accuracy and usability for decision-making
Ensure timely execution of improvement plans and monitor progress against defined goals. Delegates assignments and monitoring progress as required to ensure a timely completion of deliverables
Coordinate development and implementation of policies and procedures as well as development of monitoring and evaluation benchmarks
Control and monitor project effectiveness, update project plans as necessary. Ensure compliance with necessary audit requirements
Assist with analysis and development of business processes to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met
Develop escalation process to channel issues and concerns to appropriate parties
Evaluate project risks, develop contingency plans and respond to change in risk as the project progresses
Develop effective business process improvement initiatives and communication plans
Perform analytic functions and coach staff in analytical production, technical and other areas
Document and present project management results through the development of criteria, issue analysis papers and reports
Track budgets, operating plans and financial cost forecasts to support the objectives of the project
Qualification
Required
Bachelor's degree or advanced degree (where required)
5+ years of experience in related field
In lieu of degree, 7+ years of experience in related field
Preferred
Strong Project Management experience working across multiple teams within a larger organization
Understanding of IT systems within Managed Care and how these systems support on-going functionality across multiple teams
Strong skills in in excel, tableau and/or other data management tools
Experience with Child Welfare systems
Benefits
Medical, dental, and vision coverage along with numerous health and wellness programs
Parental leave and support plus adoption and surrogacy assistance
Career development programs and tuition reimbursement for continued education
401k match including an annual company contribution
Company
Blue Cross NC
It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way.
5001-10000 employees
H1B Sponsorship
Blue Cross NC has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (1)
2023 (2)
2022 (5)
2021 (13)
2020 (5)
Funding
Current Stage
Late StageLeadership Team
Tunde Sotunde
President and Chief Executive Officer
Caleb Davies
Medicaid Market CFO - Healthy Blue of NC Medicaid
Recent News
2026-01-06
Arkansas Business — Business News, Real Estate, Law, Construction
2025-10-31
Company data provided by crunchbase